NPI 1538159033

Martin de Porres Nursing Home, INC

Organisation Skilled Nursing Facility Lake Charles, LA

Practice location

Address: 200 Teal St, Lake Charles, LA 70615-6841
Phone: (337) 439-5761
Fax: (337) 466-4788

Authorised official

Name: Bill Brewer
Title: Assistant Executive Director
Phone: (337) 439-5761

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 231 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1538159033
Entity type: Organization
NPI issued: 26 Oct 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.